| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.98 | $109.42 | $122.32 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Florida Blue
| Professional | $63.18 | $107.71 | $140.10 | |
Molina
| Professional | $152.83 | $152.83 | $152.83 | |
United
| Professional | $60.17 | $68.45 | $81.20 | |
Wellpoint
| Professional | $172.93 | $172.93 | $172.93 |